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Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Naltrexone and Vivitrol Treatment Centers

Naltrexone is an FDA-approved opioid antagonist medication used to treat both alcohol dependence and opioid use disorder. Available as a daily oral tablet (Revia) or a monthly Vivitrol injection, naltrexone works by blocking opioid receptors in the brain to reduce cravings and prevent relapse. Use our directory to find treatment centers that offer naltrexone-based medication-assisted treatment near you.

Found 6,711 treatment centers offering naltrexone (vivitrol) across the United States.

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WestBridge
Manchester, NH

Situated in Manchester, NH, WestBridge stands as a leading treatment center, delivering robust outpatient services for individuals grappling with substance use disorders and co-occurring mental health challenges in adults, as well as emotional disturbances in children. Employing methods such as 12-step recovery support, strategies for managing anger, and brief intervention techniques, WestBridge offers dedicated programs for those with a history of trauma and individuals facing dual diagnoses of mental health and substance use issues. Designed to accommodate adults and young adults of any gender, this center also provides outpatient medication-assisted treatment, including methadone, buprenorphine, or naltrexone. WestBridge is committed to delivering exceptional care and assistance to those pursuing thorough recovery programs.

WestBridge
Manchester, NH

WestBridge, situated in Manchester, NH, specializes in extended residential care for adult males facing challenges related to substance abuse and significant concurrent mental health disorders. This center is equipped to handle the needs of individuals who have undergone trauma, as well as those dealing with both mental health issues and substance use. Emphasizing a combination of 12-step programs, anger management strategies, and short-term interventions, WestBridge customizes its therapeutic approaches to address the distinct requirements of each person. Both young and older adults looking for thorough residential treatment in a nurturing setting will receive exceptional support at this facility.

WestBridge
Manchester, NH

Situated in Manchester, NH, WestBridge specializes in treating adult men who face challenges from substance use along with severe mental health issues. The center offers both intensive outpatient and outpatient day treatment programs that incorporate 12-step support, anger management techniques, and brief intervention methods. WestBridge is particularly noted for its dedication to helping individuals who have experienced trauma, as well as those dealing with concurrent mental health and substance use issues. Designed for adults, including seniors and young adults, this facility ensures personalized care in a nurturing setting, fostering enduring recovery. For those in search of a thorough treatment plan that addresses both substance use and mental health needs, WestBridge provides exceptional care with a focus on gender-specific services.

WestBridge Recovery Center

Situated in Porter, TX, WestBridge Recovery Center delivers an extensive array of services aimed at aiding individuals in their recovery journey. The center specializes in detoxification, treatment for substance abuse, and targeted care for adults facing co-occurring substance use disorders and significant mental health challenges, as well as children experiencing serious emotional disturbances. With a variety of treatment modalities such as intensive outpatient programs, long-term residential stays, and traditional outpatient services, WestBridge Recovery Center customizes its methods to address the distinct needs of every client. The center incorporates 12-step support, anger management, and brief intervention techniques, ensuring high-quality care with an emphasis on personalized treatment. It caters to adults and young adults of all genders, fostering a nurturing atmosphere conducive to healing and personal development.

Westbrook Health Services

Westbrook Health Services, located in Vienna, WV, provides a thorough suite of recovery programs for those struggling with addiction and concurrent mental health challenges. Their offerings include intensive outpatient care, standard outpatient services, and outpatient detoxification. Utilizing approaches such as 12-step integration, anger management techniques, and cognitive-behavioral therapy, Westbrook Health Services crafts personalized recovery paths. They have dedicated programs for young people, adult men, and adult women, serving clients of all ages and both genders. Westbrook Health Services is dedicated to offering effective, scientifically supported treatment to guide individuals toward lasting sobriety.

Westchester Medical Center

Westchester Medical Center, situated in Poughkeepsie, NY, provides extensive outpatient treatment options for both adults and young adults dealing with substance use issues. The facility specializes in addressing co-occurring mental health conditions alongside substance use disorders. They utilize personalized treatment methods, including brief interventions, cognitive behavioral therapy, and motivational interviewing. With a particular emphasis on supporting clients who have faced trauma, Westchester Medical Center offers outpatient treatments involving methadone, buprenorphine, or naltrexone, alongside general outpatient services. Serving a diverse clientele of both men and women, the center is dedicated to delivering high-quality, individualized care to aid individuals in their recovery journey.

West Yavapai Guidance Clinic

West Yavapai Guidance Clinic, situated in Prescott, AZ, delivers extensive outpatient care for addiction, substance abuse, and dual diagnoses affecting both minors and adults. The clinic features dedicated tracks for active military personnel, as well as separate programs for men and women. Their treatment plans are personalized, aiming for a complete and successful recovery journey. Available treatments encompass outpatient detox and medication-assisted options like methadone, buprenorphine, or naltrexone. Committed to excellence and recovery, this establishment supports individuals of all ages and genders grappling with substance abuse and mental health issues.

Western Arkansas Counseling and

Western Arkansas Counseling, located in Fort Smith, AR, delivers outpatient treatment for substance use issues affecting both adults and children who are also facing co-occurring mental health disorders. The center features tailored programs specifically designed for active duty military members, teenagers, adult men, as well as being inclusive of both men and women. Among the various treatment methods employed are 12-step facilitation, anger management sessions, and short intervention strategies. Committed to delivering high-quality care, this facility offers outpatient services that include methadone/buprenorphine or naltrexone treatments, alongside regular outpatient care. Aimed at supporting adults and seniors, the center focuses on providing thorough assistance to those pursuing recovery from substance use and related mental health challenges.

Western Arkansas Counseling and

Western Arkansas Counseling and offers extensive outpatient care in Fort Smith, AR. We focus on helping individuals overcome addiction through detoxification, substance use disorder treatment, and specialized support for co-occurring mental health issues in adults and emotional challenges in children. Our services include medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside standard outpatient programs. We utilize proven therapeutic methods such as 12-step facilitation, anger management, and brief interventions. Tailored programs are available for active military, teenagers, and adult men. We welcome adults and seniors of all genders, providing a supportive environment for healing and recovery.

Westbrook Health Services

Westbrook Health Services, located in Parkersburg, WV, presents an extensive variety of treatment solutions for those aiming to overcome substance use challenges and dual-diagnosis mental health conditions. This center offers both long-term and short-term residential care along with 24/7 programs, employing evidence-supported methods like 12-step approaches, anger management, and cognitive behavioral therapy. They have specialized tracks for adult women, individuals with past traumas, and those facing co-occurring issues. Westbrook Health Services is open to adults and young adults of all backgrounds, providing personalized care tailored to the specific needs of each client. Emphasizing quality and individualized treatment, this center serves as a guiding light for individuals pursuing sustainable recovery.

Westcare Tennessee Treatment Facility

Westcare Tennessee Treatment Facility, located in Dandridge, TN, delivers complete care for adults battling substance use issues, particularly those with concurrent severe mental health conditions and emotional challenges in children. Their services extend to outpatient care, encompassing medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside general outpatient support. The treatment philosophy incorporates evidence-based practices like 12-step program engagement, strategies for managing anger, and brief counseling interventions. The facility also features targeted programs for active military members, adult men, and women, addressing the specific needs of various groups. Catering to adults and young adults across all gender identities, Westcare Tennessee Treatment Facility is committed to providing excellent support and treatment for those pursuing recovery in a supportive setting.

Western Arkansas Counseling and

Situated in Ozark, AR, the Western Arkansas Counseling center delivers outpatient treatment for adults dealing with substance use disorders, which encompasses individuals facing concurrent serious mental health challenges. This center offers targeted support for active duty military, teenagers, and adult males. The treatment modalities include 12-step facilitation, anger management, and brief intervention strategies. With programs designed to meet the needs of both women and men, as well as senior citizens, this facility is committed to providing thorough care for a wide array of individuals. Clients seeking either consistent outpatient services or methadone/buprenorphine treatment can anticipate personalized, high-quality care here.

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Westbrook Health Services in Spencer, WV, delivers complete addiction treatment for individuals of all ages facing significant mental health challenges. Their offerings include intensive outpatient services, general outpatient care, and targeted medication-assisted treatment with methadone, buprenorphine, or naltrexone. Employing therapeutic methods such as 12-step facilitation, anger management, and cognitive behavioral therapy, the center customizes treatment plans for each person. Westbrook Health Services is distinguished by its individualized approach, catering to adults and older adults regardless of gender. For those looking for proven, science-backed treatment within a nurturing setting, this center is committed to guiding you toward enduring sobriety.

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Westbrook Health Services in Ripley, WV, delivers robust intensive outpatient and outpatient programs for adults and older individuals battling substance use disorders. The facility excels in addressing co-occurring conditions, including serious mental health disorders in adults and severe emotional challenges in children, ensuring personalized treatment plans for every client. Their therapeutic strategies encompass 12-step facilitation, anger management techniques, and cognitive behavioral therapy. Accommodating both male and female clients, Westbrook Health Services is dedicated to providing a thorough and impactful recovery journey. Clients can anticipate receiving superior care within a nurturing setting dedicated to sustained sobriety.

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Pinellas Park, FL

Situated in Pinellas Park, FL, Westcare stands out as a leading rehabilitation facility focused on overcoming substance use disorders. The center provides various treatment options, including outpatient programs, methadone/buprenorphine, or naltrexone treatments, and structured outpatient services, ensuring a holistic approach to healing. Westcare employs evidence-informed strategies such as anger management, cognitive behavioral therapy (CBT), and motivational incentives to offer customized care for each client. The center features specialized programs for adult men and women, as well as those who have faced domestic or intimate partner violence, addressing a wide range of individual needs. Westcare is dedicated to offering top-notch, personalized treatment for adults and young adults across all genders to foster enduring recovery.

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WestCare Kentucky is situated in Ashcamp, KY, and provides a variety of substance use treatment options including long-term, 24-hour residential, and short-term programs specifically designed for adult males. The center emphasizes 12-step facilitation methods, anger management strategies, and brief intervention techniques. It also offers distinct programs for adult men, as well as for individuals who have suffered from sexual abuse or trauma. Catering to a diverse group that includes adults, seniors, and young adults, WestCare Kentucky fosters a nurturing atmosphere for male clients on their recovery journey. With a commitment to delivering high-quality care and tailored services, this rehabilitation center stands out as an excellent choice for those seeking thorough and effective support for addiction recovery.

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Situated in Paris, AR, Western Arkansas Counseling provides a thorough outpatient program for individuals struggling with substance abuse and concurrent mental health challenges, catering to both adults and children. The center features dedicated services for active duty military personnel, teenagers, and adult males, ensuring personalized care for diverse populations. Employing methods like 12-step practices, anger management, and short-term interventions, this facility prioritizes complete wellness. It accommodates adults and seniors of any gender, highlighting the importance of quality treatment and customized plans to aid clients in their recovery process.

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Situated in Mena, AR, Western Arkansas Counseling and provides extensive outpatient care for substance use disorders affecting both adults and children who are also dealing with significant mental health challenges. The center features tailored services for active military personnel, teenagers, and adult males, accommodating diverse demographics. Patients can access outpatient treatment using methadone, buprenorphine, or naltrexone, alongside standard outpatient counseling. Employing therapeutic methods like 12-step facilitation, anger management, and brief interventions, the facility is committed to personalized recovery journeys. Western Arkansas Counseling and prioritizes high-quality, customized treatment strategies to foster enduring well-being.

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Situated in Van Buren, AR, the Western Arkansas Counseling and Rehabilitation Center provides extensive outpatient services addressing substance use disorders and co-occurring mental health issues in adults, as well as serious emotional challenges in children. The center features tailored treatment options for active duty service members, teenagers, and adult men. Emphasizing 12-step programs, anger management, and short-term interventions, it serves clients of all genders and ages. The facility also offers outpatient treatments with methadone/buprenorphine or naltrexone, ensuring effective care and assistance for those pursuing recovery and wellness.

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Western Arkansas Counseling and in Waldron, AR, provides a full spectrum of outpatient services for individuals of all ages who are struggling with substance use disorders, particularly when co-occurring with significant mental health challenges or emotional difficulties. Their therapeutic approaches incorporate evidence-based practices like 12-step facilitation, anger management, and brief intervention strategies. The center caters to specific populations including active military, teens, and adult men, while ensuring individualized care plans for all genders. They are committed to delivering high-quality support, offering outpatient medication-assisted treatment options such as methadone, buprenorphine, or naltrexone, alongside traditional outpatient counseling for adults and older adults.

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Western Arkansas Counseling and, situated in Booneville, AR, delivers a thorough suite of outpatient services for individuals of all ages struggling with substance use disorders, especially when co-occurring with significant mental health challenges. Their commitment to excellent care is evident in their specialized offerings, including 12-step program support, techniques for managing anger, and brief counseling strategies. They feature distinct programs catering to active military, teenagers, and adult men. This center extends its outpatient care, including methadone, buprenorphine, or naltrexone options, to adults and older adults regardless of gender. Western Arkansas Counseling and is committed to aiding those on their journey toward lasting recovery.

Frequently Asked Questions

What is naltrexone and how does it work?
Naltrexone is an opioid antagonist medication approved by the FDA to treat both alcohol use disorder and opioid dependence. It works by binding to opioid receptors in the brain, blocking the euphoric and sedative effects of opioids and reducing alcohol cravings. Naltrexone is available as an oral tablet (brand name Revia) and as a monthly injection (brand name Vivitrol).
What are the most common naltrexone side effects?
The most common naltrexone side effects include nausea, headache, dizziness, fatigue, insomnia, and anxiety. Some patients also experience joint or muscle pain, decreased appetite, and stomach cramps. Most side effects are mild and tend to diminish within the first few weeks of treatment. Serious but rare side effects include liver damage, so physicians typically monitor liver function during treatment.
What is Vivitrol and how is the injection administered?
Vivitrol is the brand name for extended-release naltrexone, delivered as a once-monthly intramuscular injection. The Vivitrol injection is administered by a healthcare provider into the gluteal muscle and slowly releases naltrexone over approximately 30 days. This eliminates the need for daily pill compliance, making it a preferred option for many patients in recovery from alcohol or opioid dependence.
What is the difference between naltrexone and naloxone?
Although their names sound similar, naltrexone and naloxone serve different purposes. Naloxone (brand name Narcan) is a short-acting opioid antagonist used as an emergency rescue medication to reverse opioid overdoses, while naltrexone is a long-acting antagonist taken on a scheduled basis to prevent relapse. Naloxone works within minutes but wears off quickly, whereas naltrexone provides sustained receptor blockade over hours or weeks depending on the formulation.
How does naltrexone compare to Suboxone?
Naltrexone and Suboxone take fundamentally different approaches to treating opioid dependence. Suboxone contains buprenorphine (a partial opioid agonist) and reduces withdrawal symptoms by mildly activating opioid receptors, while naltrexone fully blocks those receptors without any opioid effect. Patients must be fully detoxed from opioids before starting naltrexone, whereas Suboxone can be initiated during early withdrawal. The best choice depends on individual treatment history and clinical needs.
What is the standard naltrexone dosage?
The standard oral naltrexone dosage for both alcohol and opioid dependence is 50 mg taken once daily. Some providers use an initial dose of 25 mg for the first day to minimize side effects. For Vivitrol, the dosage is 380 mg delivered as a single intramuscular injection once every four weeks. Dosage should not be adjusted without medical supervision.
How much does naltrexone cost and does insurance cover it?
Generic oral naltrexone tablets typically range from $30 to $80 per month without insurance. Vivitrol injections are considerably more expensive, often costing $1,000 to $1,800 per injection without coverage. Most private insurance plans, Medicaid, and Medicare cover naltrexone in both forms, and manufacturer assistance programs are available for eligible patients.
What is low dose naltrexone (LDN)?
Low dose naltrexone (LDN) refers to naltrexone taken at very small doses, typically between 1 mg and 5 mg, far below the standard 50 mg addiction treatment dose. LDN is used off-label for conditions such as chronic pain, fibromyalgia, and certain autoimmune disorders, and it is not an approved treatment for addiction. Patients should not confuse LDN with standard naltrexone therapy for substance use disorders.

About Naltrexone (Vivitrol)

Naltrexone is an opioid antagonist, meaning it binds to the mu-opioid receptors in the brain without activating them. By occupying these receptors, naltrexone effectively blocks the rewarding effects of opioids and reduces the neurochemical reinforcement that drives alcohol cravings. Unlike medications such as methadone or buprenorphine, naltrexone has no potential for abuse or physical dependence because it produces no opioid effect whatsoever.

How Naltrexone Works

When a person taking naltrexone consumes alcohol, the pleasurable dopamine surge that normally reinforces drinking behavior is significantly blunted. For individuals with opioid dependence, naltrexone prevents any ingested opioid from reaching the receptors, rendering opioid use ineffective. This pharmacological mechanism makes naltrexone a cornerstone of medication-assisted treatment (MAT) programs across the country. Naltrexone was first approved by the FDA in 1984 for opioid dependence and received additional approval for alcohol dependence in 1994.

Naltrexone Side Effects

Common side effects include:

  • Nausea, especially during the first few days
  • Headache and dizziness
  • Fatigue and insomnia
  • Joint and muscle pain
  • Decreased appetite and anxiety

Serious side effects are less common but include signs of liver injury such as yellowing of the skin or eyes, dark urine, and persistent abdominal pain. Severe injection site reactions from Vivitrol, including tissue necrosis, have been reported in rare cases. Importantly, naltrexone lowers opioid tolerance over time — if a person discontinues naltrexone and attempts to use opioids at previously tolerated doses, the risk of fatal overdose increases significantly.

Naltrexone for Alcohol Dependence

Naltrexone is one of only three FDA-approved medications for alcohol use disorder, alongside disulfiram (Antabuse) and acamprosate (Campral). For individuals struggling with alcohol dependence, naltrexone reduces heavy drinking days and increases the percentage of days abstinent. The oral formulation, sold under the brand name Revia, is typically prescribed at 50 mg daily and is most effective when combined with behavioral therapy and support groups.

Naltrexone for Opioid Dependence

For opioid dependence, naltrexone serves as a relapse-prevention tool rather than a detox medication. Patients must complete a full opioid detoxification and remain opioid-free for a minimum of 7 to 14 days before beginning naltrexone therapy. Starting naltrexone while opioids are still present can trigger sudden and severe precipitated withdrawal. Once initiated, naltrexone provides a pharmacological safety net — if a patient relapses, naltrexone blocks the drug from producing its usual effects.

Vivitrol: Injectable Naltrexone

Vivitrol is the brand name for naltrexone extended-release injectable suspension, delivering 380 mg in a single intramuscular dose once per month. A healthcare provider injects Vivitrol into the gluteal muscle using a special needle included in the product kit, alternating sides each month. The Vivitrol shot has become increasingly popular because it solves one of the biggest challenges in addiction treatment: medication adherence. Studies show that patients receiving monthly Vivitrol injections are significantly more likely to remain in treatment compared to those prescribed daily oral naltrexone.

Vivitrol Side Effects

Vivitrol shares many side effects with oral naltrexone but carries additional risks related to the injection site. These range from mild tenderness, redness, and swelling to severe complications including induration and in rare cases tissue necrosis requiring surgical intervention. As with oral naltrexone, Vivitrol can affect liver function, and depressed mood and suicidal thoughts have also been reported.

Revia: Oral Naltrexone Brand

Revia is the primary brand name for oral naltrexone hydrochloride tablets in a 50 mg strength. Today, most prescriptions are filled with generic naltrexone, which is bioequivalent and significantly less expensive. The main advantage of oral naltrexone over injectable Vivitrol is lower cost and greater dosing flexibility, but it requires daily compliance, which patients in early recovery frequently struggle with.

Low Dose Naltrexone (LDN)

Low dose naltrexone (LDN) refers to naltrexone prescribed at doses ranging from 0.5 mg to 5 mg — a fraction of the standard 50 mg addiction treatment dose. LDN is used off-label and is not FDA-approved for any condition at these low doses. It is not a treatment for addiction and operates through a fundamentally different mechanism. The theory proposes that a brief, transient blockade of opioid receptors causes a rebound effect that increases the body's natural endorphin production. LDN has been investigated for conditions including fibromyalgia, multiple sclerosis, and Crohn's disease, but large-scale clinical trials are still needed.

Naltrexone Cost and Insurance

Generic oral naltrexone typically costs $30 to $80 per month without insurance. With insurance or discount programs, out-of-pocket cost can fall below $15. Vivitrol injections cost $1,000 to $1,800 without insurance, but most private plans, Medicaid, and Medicare cover it. Alkermes offers the Vivitrol Co-Pay Savings Program for insured patients and a Patient Assistance Program for those without insurance.

Naltrexone Dosage

The standard oral dose is 50 mg once daily, with some providers starting at 25 mg for the first day to minimize side effects. For Vivitrol, the dose is 380 mg as a single intramuscular injection every four weeks. Patients must be opioid-free for a minimum of 7 to 14 days before initiating either formulation.

Naltrexone vs Naloxone: What's the Difference?

Both are opioid antagonists, but they differ in duration and use. Naloxone (Narcan) is a short-acting emergency overdose reversal agent that takes effect within minutes and wears off in 30 to 90 minutes. Naltrexone is a long-acting antagonist for ongoing relapse prevention, providing blockade for 24 hours (oral) or 30 days (Vivitrol). Naloxone is also a component of Suboxone, where it deters injection misuse.

Naltrexone vs Suboxone

Suboxone contains buprenorphine (a partial opioid agonist) that mildly stimulates opioid receptors, reducing cravings and withdrawal. Naltrexone fully blocks receptors with zero agonist activity. Patients must be fully detoxed before starting naltrexone, whereas Suboxone can be initiated during early withdrawal. A landmark 2017 clinical trial (X:BOT) found that among patients who successfully started treatment, relapse rates were similar between Vivitrol and Suboxone.

Naltrexone and Weight Loss

Naltrexone is one of two active ingredients in Contrave (naltrexone/bupropion), an FDA-approved weight management medication. However, naltrexone alone is not approved for weight loss. Some patients undergoing addiction treatment report modest weight changes related to reduced alcohol calories or appetite-suppressing side effects, but naltrexone should not be selected as an addiction medication primarily for weight effects.

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Medically Reviewed Updated May 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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